Ijadi-Maghsoodi Roya, Quan Michelle, Horton John, Ryan Gery W, Kataoka Sheryl, Lester Patricia, Milburn Norweeta G, Gelberg Lillian
UCLA Division of Population Behavioral Health, Jane and Terry Semel Institute for Neuroscience and Human Behavior at UCLA, Los Angeles, California.
Department of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles, Los Angeles, California.
J Child Adolesc Psychopharmacol. 2019 Dec;29(10):773-782. doi: 10.1089/cap.2019.0011. Epub 2019 May 16.
We sought to understand the stressors, the parent-child relationship and family processes, and experiences with services among families experiencing parental substance use disorders (SUDs) and homelessness. We conducted a total of 41 in-depth semistructured interviews with parents with a history of SUDs and homelessness ( = 16) and housing support staff ( = 25) from May 2017 until January 2018. Participants were recruited from transitional housing facilities across the Los Angeles metropolitan area, which served families experiencing homelessness and parental SUDs. The interviews were audio-recorded, transcribed, and themes coded with Dedoose. We found a high burden of trauma and guilt among parents, and a fear of SUD disclosure. We found challenges with family processes important for SUD prevention, including communication, discussion of substance use, and family and youth goal setting. We also discovered unique stressors related to navigating housing and services within the community. Our findings demonstrate the need for a family-based SUD-preventive intervention for youth growing up in families with parental SUDs and experiencing homelessness, to address the heightened SUD risk. In addition, findings from our study can inform clinical and housing services for this important population.
我们试图了解父母患有物质使用障碍（SUDs）且无家可归的家庭所面临的压力源、亲子关系和家庭过程，以及他们接受服务的经历。从2017年5月到2018年1月，我们总共对有SUDs病史且无家可归的父母（n = 16）和住房支持人员（n = 25）进行了41次深入的半结构化访谈。参与者是从洛杉矶大都市地区的过渡性住房设施中招募的，这些设施为无家可归且父母患有SUDs的家庭提供服务。访谈进行了录音、转录，并使用Dedoose对主题进行编码。我们发现父母中创伤和内疚感负担很重，且担心披露SUDs情况。我们发现对于SUD预防很重要的家庭过程存在挑战，包括沟通、物质使用的讨论以及家庭和青少年目标设定。我们还发现了与在社区中寻找住房和服务相关的独特压力源。我们的研究结果表明，对于在父母患有SUDs且无家可归的家庭中成长的青少年，需要开展基于家庭的SUD预防干预措施，以应对增加的SUD风险。此外，我们研究的结果可以为针对这一重要人群的临床和住房服务提供参考。
